摘要
目的 介绍改良方法切取骨间背侧动脉逆行岛状皮瓣急诊手术修复手部外伤皮肤软组织缺损创面的方法.方法 用改良方法切取前臂骨间背侧动脉皮瓣逆行转移急诊亚急诊手术修复各种原因致手部皮肤缺损16例.结果 14例皮瓣均完全成活,有2例皮瓣远段表皮坏死,经换药后创面愈合.结论 通过对前臂骨间背侧皮瓣切取方法的改进,可补救急诊手外伤手术中发现或出现的血管损伤及解剖变异对皮瓣成活的影响,并降低手术难度,缩短了住院时间,值得推广.
Objective To introduce the clinical application of the improved interosseous dorsal antidromic artery issular flap in the emergency treatment of the soft tissue defects in hand trauma. Methods 16 patients were received the interosseous dorsal antidromic artery flap for soft tissue defects in the hand with emergency treatment. Results All 14 flaps survived, tip necrosis occurred in 2 cases which healed without complications. Conclusion It was simple technical and shorten time in hospital with improvement of the emergency operative procedure of interosseous dorsal antidromic artery flap, and could reduce the impact of frequency of anatomic variations and vascular complications.
出处
《中国基层医药》
CAS
2010年第19期2615-2616,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
外科皮瓣
骨间背动脉
皮动脉
急诊
Surgical flaps
Interosseous dorsal antidromic artery
Cutaneous artery
Emergency
